Examples from the Web for force majeure Expand. Historical Examples. I surrender it to force majeure, she said, as Daphne took it from her. Marriage la mode Mrs. Humphry Ward. And Geordie obeyed like a child in the presence of force majeure.
Your claim will be governed according to the Medicare reimbursement rates, even if your bill from the provider was more than the approved Medicare amount. Non-participating providers can charge Medicare patients up to 15% above the Medicare-approved amount.
Acute Inpatient Hospitals. 1  The PPS is the DRG. 2  The DRG is based on the patient diagnosis. 3  The DRG payment is per stay.  The amount of reimbursement is based on the relative weight of the 1  DRG. The hospital may receive additional monies if the patient remains hospitalized significantly longer than average (an outlier).